Yalobusha General Hospital
Yalobusha General Hospital in Water Valley, MS publishes cash prices for 202 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Mississippi median for 105 of 202 procedures and below it for 89. By typical cash price it ranks #20 of 36 Mississippi hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
630 S Main Street Water Valley, MS 38965 Collected Sep 27, 2026 Source price file (662) 473-1411
Acute care hospital No emergency department CCN 250061 · CMS hospital register
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Yalobusha General Hospital in Water Valley, MS:
- Sep 4, 2025 Corrective action plan requested
- Feb 4, 2026 Case closed
Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE 3V BL | $182.00 | $260.00 | $111.46–$95.76 | 50% above | 30% |
| Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE | $199.54 | $285.06 | $111.46–$95.76 | 65% above | 30% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3V RT | $119.00 | $170.00 | $111.46–$95.76 | 2% below | 30% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3V LT | $119.00 | $170.00 | $111.46–$95.76 | 2% below | 30% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XR ANKLE 3V BL | $182.00 | $260.00 | $234.00 | — | 30% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XR ANKLE | $199.54 | $285.06 | $256.55 | — | 30% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE 3V LT | $119.00 | $170.00 | $153.00 | — | 30% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE 3V RT | $119.00 | $170.00 | $153.00 | — | 30% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGRAM | $213.55 | $305.07 | $135.66–$338.01 | 6% above | 30% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGRAM | $213.55 | $305.07 | $274.56 | — | 30% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LTD | $232.40 | $332.00 | $111.46–$75.05 | 20% above | 30% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST LTD | $232.40 | $332.00 | $298.80 | — | 30% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST WWO | $1,550.50 | $2,215.00 | $135.66–$373.05 | 36% above | 30% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST WWO | $1,550.50 | $2,215.00 | $1,993.50 | — | 30% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT RENAL STONE | $1,246.00 | $1,780.00 | $1,424.00–$458.96 | 10% below | 30% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PEL WOUT | $1,246.00 | $1,780.00 | $1,424.00–$458.96 | 10% below | 30% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PEL WOUT | $1,246.00 | $1,780.00 | $1,602.00 | — | 30% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT RENAL STONE | $1,246.00 | $1,780.00 | $1,602.00 | — | 30% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PEL WITH | $1,778.00 | $2,540.00 | $2,032.00–$678.09 | 3% above | 30% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PEL WITH | $1,778.00 | $2,540.00 | $2,286.00 | — | 30% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PEL WWO | $1,872.50 | $2,675.00 | $2,140.00–$678.09 | at median | 30% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PEL WWO | $1,872.50 | $2,675.00 | $2,407.50 | — | 30% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W | $1,081.50 | $1,545.00 | $1,236.00–$373.05 | 12% above | 30% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W | $1,081.50 | $1,545.00 | $1,390.50 | — | 30% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO | $896.00 | $1,280.00 | $1,024.00–$90.64 | 6% above | 30% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO | $896.00 | $1,280.00 | $1,152.00 | — | 30% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS WO | $805.00 | $1,150.00 | $1,035.00–$920.00 | 14% above | 30% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS WO | $805.00 | $1,150.00 | $1,035.00 | — | 30% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO | $742.00 | $1,060.00 | $134.61–$954.00 | 1% below | 30% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO | $742.00 | $1,060.00 | $954.00 | — | 30% |
| CT scan of the head with contrast CPT 70460 CT HEAD W | $1,004.50 | $1,435.00 | $1,148.00–$373.05 | 11% above | 30% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD W | $1,004.50 | $1,435.00 | $1,291.50 | — | 30% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD WWO | $1,046.50 | $1,495.00 | $1,196.00–$373.05 | at median | 30% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WWO | $1,046.50 | $1,495.00 | $1,345.50 | — | 30% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SP LUMBAR WO | $952.00 | $1,360.00 | $1,088.00–$90.64 | 7% above | 30% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SP LUMBAR WO | $952.00 | $1,360.00 | $1,224.00 | — | 30% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SP CERV WO | $973.00 | $1,390.00 | $1,112.00–$90.64 | 10% above | 30% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SP CERV WO | $973.00 | $1,390.00 | $1,251.00 | — | 30% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W | $1,092.00 | $1,560.00 | $1,248.00–$373.05 | 12% above | 30% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W | $1,092.00 | $1,560.00 | $1,404.00 | — | 30% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID DPX | $609.00 | $870.00 | $184.20–$783.00 | 24% above | 30% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US CAROTID DPX | $609.00 | $870.00 | $783.00 | — | 30% |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEW | $119.00 | $170.00 | $111.46–$95.76 | 11% below | 30% |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEW | $119.00 | $170.00 | $153.00 | — | 30% |
| Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW | $91.00 | $130.00 | $104.00–$95.76 | 14% below | 30% |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW | $91.00 | $130.00 | $117.00 | — | 30% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL | $420.00 | $600.00 | $134.61–$90.64 | 23% above | 30% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEUM | $441.00 | $630.00 | $134.61–$90.64 | 30% above | 30% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL | $420.00 | $600.00 | $540.00 | — | 30% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEUM | $441.00 | $630.00 | $567.00 | — | 30% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BMD - DEXA | $294.00 | $420.00 | $134.61–$90.64 | 24% above | 30% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BMD - DEXA | $294.00 | $420.00 | $378.00 | — | 30% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB EVAL SFG | $822.50 | $1,175.00 | $1,057.50–$940.00 | 76% above | 30% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB EVAL SFG | $822.50 | $1,175.00 | $1,057.50 | — | 30% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO | $938.00 | $1,340.00 | $1,072.00–$90.64 | 12% above | 30% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO | $938.00 | $1,340.00 | $1,206.00 | — | 30% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W | $1,085.00 | $1,550.00 | $1,240.00–$373.05 | 9% above | 30% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W | $1,085.00 | $1,550.00 | $1,395.00 | — | 30% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 US EXT ART LOW/DP/B | $483.70 | $691.00 | $184.20–$621.90 | 22% above | 30% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 US ART EXT LO BL | $675.50 | $965.00 | $184.20–$868.50 | 71% above | 30% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US EXT ART LOW/DP/B | $483.70 | $691.00 | $621.90 | — | 30% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US ART EXT LO BL | $675.50 | $965.00 | $868.50 | — | 30% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS BOTH LEGS | $511.00 | $730.00 | $184.20–$657.00 | at median | 30% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US EXT VEN UP BIL | $536.55 | $766.50 | $184.20–$689.85 | 5% above | 30% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US EXT VEN LOW BIL | $536.55 | $766.50 | $184.20–$689.85 | 5% above | 30% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US VEIN EXT UP BL | $609.00 | $870.00 | $184.20–$783.00 | 19% above | 30% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US VEIN EXT LO BL | $609.00 | $870.00 | $184.20–$783.00 | 19% above | 30% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VENOUS BOTH LEGS | $511.00 | $730.00 | $657.00 | — | 30% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US EXT VEN UP BIL | $536.55 | $766.50 | $689.85 | — | 30% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US EXT VEN LOW BIL | $536.55 | $766.50 | $689.85 | — | 30% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VEIN EXT UP BL | $609.00 | $870.00 | $783.00 | — | 30% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VEIN EXT LO BL | $609.00 | $870.00 | $783.00 | — | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHOCARDIOGRAM | $924.00 | $1,320.00 | $1,041.07–$694.05 | 2% below | 30% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHOCARDIOGRAM | $924.00 | $1,320.00 | $1,188.00 | — | 30% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 CPAP TRITATIOM | $1,226.21 | $1,751.73 | $1,287.83–$867.14 | 17% below | 30% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 CPAP TRITATIOM | $1,226.21 | $1,751.73 | $1,576.56 | — | 30% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3V LT | $133.00 | $190.00 | $111.46–$95.76 | 11% above | 30% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3V RT | $133.00 | $190.00 | $111.46–$95.76 | 11% above | 30% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3V RT | $133.00 | $190.00 | $171.00 | — | 30% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3V LT | $133.00 | $190.00 | $171.00 | — | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE ABDOMEN | $286.65 | $409.50 | $134.61–$90.64 | 7% above | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD | $367.50 | $525.00 | $134.61–$90.64 | 37% above | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER | $367.50 | $525.00 | $134.61–$90.64 | 37% above | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SOFT TISSUE ABDOMEN | $286.65 | $409.50 | $368.55 | — | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER | $367.50 | $525.00 | $472.50 | — | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LTD | $367.50 | $525.00 | $472.50 | — | 30% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LDCT LUNG CANCER | $689.50 | $985.00 | $125.66–$90.64 | 819% above | 30% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LDCT LUNG CANCER SCREENING | $689.50 | $985.00 | $125.66–$90.64 | 819% above | 30% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LDCT LUNG CANCER | $689.50 | $985.00 | $886.50 | — | 30% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LDCT LUNG CANCER SCREENING | $689.50 | $985.00 | $886.50 | — | 30% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR EXT LO JTL WO | $1,715.00 | $2,450.00 | $184.20–$458.96 | 39% above | 30% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR EXT LO JTR WO | $1,715.00 | $2,450.00 | $184.20–$458.96 | 39% above | 30% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JOINT LWR EXT WO | $1,729.00 | $2,470.00 | $184.20–$458.96 | 40% above | 30% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR EXT LO JTB WO | $2,044.00 | $2,920.00 | $184.20–$458.96 | 66% above | 30% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR EXT LO JTR WO | $1,715.00 | $2,450.00 | $2,205.00 | — | 30% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR EXT LO JTL WO | $1,715.00 | $2,450.00 | $2,205.00 | — | 30% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI JOINT LWR EXT WO | $1,729.00 | $2,470.00 | $2,223.00 | — | 30% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR EXT LO JTB WO | $2,044.00 | $2,920.00 | $2,628.00 | — | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXT W/WO | $1,834.00 | $2,620.00 | $2,096.00–$715.55 | 15% above | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR EXT LO JTL WWO | $2,597.00 | $3,710.00 | $272.15–$715.55 | 62% above | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR EXT LO JTR WWO | $2,597.00 | $3,710.00 | $272.15–$715.55 | 62% above | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR EXT LO JTB WWO | $3,150.00 | $4,500.00 | $272.15–$715.55 | 97% above | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXT W/WO | $1,834.00 | $2,620.00 | $2,358.00 | — | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR EXT LO JTL WWO | $2,597.00 | $3,710.00 | $3,339.00 | — | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR EXT LO JTR WWO | $2,597.00 | $3,710.00 | $3,339.00 | — | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR EXT LO JTB WWO | $3,150.00 | $4,500.00 | $4,050.00 | — | 30% |
| MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WO | $1,638.00 | $2,340.00 | $184.20–$458.96 | 45% above | 30% |
| MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN WO | $1,638.00 | $2,340.00 | $2,106.00 | — | 30% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN WWO | $2,898.00 | $4,140.00 | $272.15–$715.55 | 65% above | 30% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN WWO | $2,898.00 | $4,140.00 | $3,726.00 | — | 30% |
| MRI of the brain, no contrast dye CPT 70551 MR HEAD WO | $1,666.00 | $2,380.00 | $184.20–$458.96 | 68% above | 30% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MR HEAD WO | $1,666.00 | $2,380.00 | $2,142.00 | — | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 MR HEAD WWO | $2,737.00 | $3,910.00 | $272.15–$715.55 | 41% above | 30% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR HEAD WWO | $2,737.00 | $3,910.00 | $3,519.00 | — | 30% |
| MRI of the lower back, no contrast dye CPT 72148 MR SP LUMBAR WO | $1,771.00 | $2,530.00 | $184.20–$458.96 | 49% above | 30% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MR SP LUMBAR WO | $1,771.00 | $2,530.00 | $2,277.00 | — | 30% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MR SP LUMBAR WWO | $2,698.50 | $3,855.00 | $272.15–$715.55 | 32% above | 30% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR SP LUMBAR WWO | $2,698.50 | $3,855.00 | $3,469.50 | — | 30% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR SP THORAC WO | $1,750.00 | $2,500.00 | $184.20–$458.96 | 43% above | 30% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR SP THORAC WO | $1,750.00 | $2,500.00 | $2,250.00 | — | 30% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MR SP CERV WWO | $2,894.50 | $4,135.00 | $272.15–$715.55 | 49% above | 30% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR SP CERV WWO | $2,894.50 | $4,135.00 | $3,721.50 | — | 30% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MR SP CERV WO | $1,690.50 | $2,415.00 | $184.20–$458.96 | 50% above | 30% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR SP CERV WO | $1,690.50 | $2,415.00 | $2,173.50 | — | 30% |
| MRI of the pelvis without and with contrast CPT 72197 MR PELVIS WWO | $2,754.50 | $3,935.00 | $272.15–$715.55 | 60% above | 30% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS WWO | $2,754.50 | $3,935.00 | $3,541.50 | — | 30% |
| MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS WO | $1,788.50 | $2,555.00 | $184.20–$458.96 | 65% above | 30% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS WO | $1,788.50 | $2,555.00 | $2,299.50 | — | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXT WO | $1,610.00 | $2,300.00 | $184.20–$458.96 | 43% above | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR EXT UP JTR WO | $1,610.00 | $2,300.00 | $184.20–$458.96 | 43% above | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR EXT UP JTL WO | $1,610.00 | $2,300.00 | $184.20–$458.96 | 43% above | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR EXT UP JTB WO | $2,415.00 | $3,450.00 | $184.20–$458.96 | 115% above | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI JOINT UPR EXT WO | $1,610.00 | $2,300.00 | $2,070.00 | — | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR EXT UP JTL WO | $1,610.00 | $2,300.00 | $2,070.00 | — | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR EXT UP JTR WO | $1,610.00 | $2,300.00 | $2,070.00 | — | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR EXT UP JTB WO | $2,415.00 | $3,450.00 | $3,105.00 | — | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER | $259.00 | $370.00 | $134.61–$90.64 | 24% above | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US BLADDER | $259.00 | $370.00 | $333.00 | — | 30% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC | $378.00 | $540.00 | $134.61–$90.64 | 41% above | 30% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC | $378.00 | $540.00 | $486.00 | — | 30% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB >14WKS SFG | $490.00 | $700.00 | $134.61–$90.64 | 42% above | 30% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB >14WKS SFG | $490.00 | $700.00 | $630.00 | — | 30% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB <14WKS SFG | $434.00 | $620.00 | $134.61–$90.64 | 45% above | 30% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB <14WKS SFG | $434.00 | $620.00 | $558.00 | — | 30% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LTD | $311.50 | $445.00 | $134.61–$90.64 | 55% above | 30% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LTD | $311.50 | $445.00 | $400.50 | — | 30% |
| Screening mammogram, both breasts CPT 77067 MAMMO SCREEN BILATER | $462.00 | $660.00 | $104.13–$92.46 | 118% above | 30% |
| Screening mammogram, both breasts inpatient CPT 77067 MAMMO SCREEN BILATER | $462.00 | $660.00 | $594.00 | — | 30% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULDER 2V BL | $189.00 | $270.00 | $111.46–$95.76 | 50% above | 30% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHLD WITH INT&EXT | $199.54 | $285.06 | $111.46–$95.76 | 58% above | 30% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2V RT | $126.00 | $180.00 | $111.46–$95.76 | at median | 30% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2V LT | $126.00 | $180.00 | $111.46–$95.76 | at median | 30% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHOULDER 2V BL | $189.00 | $270.00 | $243.00 | — | 30% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHLD WITH INT&EXT | $199.54 | $285.06 | $256.55 | — | 30% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2V LT | $126.00 | $180.00 | $162.00 | — | 30% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2V RT | $126.00 | $180.00 | $162.00 | — | 30% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> | $1,167.10 | $1,667.28 | $1,287.83–$867.14 | 9% below | 30% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOM 6/> YRS 4/> | $1,167.10 | $1,667.28 | $1,500.55 | — | 30% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $420.00 | $600.00 | $134.61–$90.64 | 40% above | 30% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $420.00 | $600.00 | $540.00 | — | 30% |
| Transvaginal ultrasound during pregnancy CPT 76817 US TVS PREGNANCY | $378.00 | $540.00 | $134.61–$90.64 | 30% above | 30% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US TVS PREGNANCY | $378.00 | $540.00 | $486.00 | — | 30% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN | $441.00 | $630.00 | $134.61–$90.64 | 23% above | 30% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN | $441.00 | $630.00 | $567.00 | — | 30% |
| Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR | $423.50 | $605.00 | $134.61–$90.64 | 58% above | 30% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICULAR | $423.50 | $605.00 | $544.50 | — | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD-NECK SOFT TISSUE | $371.00 | $530.00 | $134.61–$90.64 | 39% above | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID | $371.00 | $530.00 | $134.61–$90.64 | 39% above | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US HEAD-NECK SOFT TISSUE | $371.00 | $530.00 | $477.00 | — | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID | $371.00 | $530.00 | $477.00 | — | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US EXT VEN LOW | $357.35 | $510.50 | $134.61–$90.64 | 23% above | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US EXT VEN UP/DP | $357.35 | $510.50 | $134.61–$90.64 | 23% above | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VEIN EXT LO R | $455.00 | $650.00 | $134.61–$90.64 | 56% above | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VEIN EXT UP R | $455.00 | $650.00 | $134.61–$90.64 | 56% above | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VEIN EXT UP L | $455.00 | $650.00 | $134.61–$90.64 | 56% above | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VEIN EXT LO L | $455.00 | $650.00 | $134.61–$90.64 | 56% above | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US EXT VEN UP/DP | $357.35 | $510.50 | $459.45 | — | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US EXT VEN LOW | $357.35 | $510.50 | $459.45 | — | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VEIN EXT LO L | $455.00 | $650.00 | $585.00 | — | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VEIN EXT UP R | $455.00 | $650.00 | $585.00 | — | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VEIN EXT UP L | $455.00 | $650.00 | $585.00 | — | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VEIN EXT LO R | $455.00 | $650.00 | $585.00 | — | 30% |
| Wrist X-ray, complete, 3 or more views CPT 73110 XR WRIST | $136.50 | $195.00 | $111.46–$95.76 | 13% above | 30% |
| Wrist X-ray, complete, 3 or more views CPT 73110 XR WRIST 3V BL | $164.50 | $235.00 | $111.46–$95.76 | 36% above | 30% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3V LT | $136.50 | $195.00 | $111.46–$95.76 | 13% above | 30% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3V RT | $136.50 | $195.00 | $111.46–$95.76 | 13% above | 30% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XR WRIST | $136.50 | $195.00 | $175.50 | — | 30% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XR WRIST 3V BL | $164.50 | $235.00 | $211.50 | — | 30% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST 3V RT | $136.50 | $195.00 | $175.50 | — | 30% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST 3V LT | $136.50 | $195.00 | $175.50 | — | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR HIP UNI 2-3 V | $124.68 | $178.11 | $111.46–$95.76 | 1% above | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR HIP AP/LAT BL | $154.00 | $220.00 | $111.46–$95.76 | 25% above | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNI 2-3 V/LT | $154.00 | $220.00 | $111.46–$95.76 | 25% above | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNI 2-3 V/RT | $154.00 | $220.00 | $111.46–$95.76 | 25% above | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 XR HIP UNI 2-3 V | $124.68 | $178.11 | $160.30 | — | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 XR HIP AP/LAT BL | $154.00 | $220.00 | $198.00 | — | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNI 2-3 V/RT | $154.00 | $220.00 | $198.00 | — | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNI 2-3 V/LT | $154.00 | $220.00 | $198.00 | — | 30% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN KUB | $108.50 | $155.00 | $111.46–$95.76 | 8% below | 30% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN KUB | $108.50 | $155.00 | $139.50 | — | 30% |
| X-ray of the ankle, 2 views CPT 73600 XR ANKLE 2V BL | $126.00 | $180.00 | $111.46–$95.76 | 35% above | 30% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2V LT | $84.00 | $120.00 | $108.00–$96.00 | 10% below | 30% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2V RT | $84.00 | $120.00 | $108.00–$96.00 | 10% below | 30% |
| X-ray of the ankle, 2 views inpatient CPT 73600 XR ANKLE 2V BL | $126.00 | $180.00 | $162.00 | — | 30% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2V LT | $84.00 | $120.00 | $108.00 | — | 30% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2V RT | $84.00 | $120.00 | $108.00 | — | 30% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER MIDLE R | $115.50 | $165.00 | $111.46–$95.76 | 9% above | 30% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER LITLE R | $115.50 | $165.00 | $111.46–$95.76 | 9% above | 30% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER INDEX R | $115.50 | $165.00 | $111.46–$95.76 | 9% above | 30% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER INDEX L | $115.50 | $165.00 | $111.46–$95.76 | 9% above | 30% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER MIDLE L | $115.50 | $165.00 | $111.46–$95.76 | 9% above | 30% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER LITLE L | $115.50 | $165.00 | $111.46–$95.76 | 9% above | 30% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER THUMB L | $115.50 | $165.00 | $111.46–$95.76 | 9% above | 30% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER RING L | $115.50 | $165.00 | $111.46–$95.76 | 9% above | 30% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER THUMB R | $115.50 | $165.00 | $111.46–$95.76 | 9% above | 30% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER RING R | $115.50 | $165.00 | $111.46–$95.76 | 9% above | 30% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER | $124.68 | $178.11 | $111.46–$95.76 | 18% above | 30% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER THUMB L | $115.50 | $165.00 | $148.50 | — | 30% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER LITLE R | $115.50 | $165.00 | $148.50 | — | 30% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER RING R | $115.50 | $165.00 | $148.50 | — | 30% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER MIDLE R | $115.50 | $165.00 | $148.50 | — | 30% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER INDEX R | $115.50 | $165.00 | $148.50 | — | 30% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER THUMB R | $115.50 | $165.00 | $148.50 | — | 30% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER LITLE L | $115.50 | $165.00 | $148.50 | — | 30% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER RING L | $115.50 | $165.00 | $148.50 | — | 30% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER MIDLE L | $115.50 | $165.00 | $148.50 | — | 30% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER INDEX L | $115.50 | $165.00 | $148.50 | — | 30% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER | $124.68 | $178.11 | $160.30 | — | 30% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEW RT | $84.00 | $120.00 | $108.00–$96.00 | 20% below | 30% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEW LT | $84.00 | $120.00 | $108.00–$96.00 | 20% below | 30% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEW LT | $84.00 | $120.00 | $108.00 | — | 30% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEW RT | $84.00 | $120.00 | $108.00 | — | 30% |
| X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT | $124.68 | $178.11 | $111.46–$95.76 | 7% above | 30% |
| X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT 3+V BL | $189.00 | $270.00 | $111.46–$95.76 | 61% above | 30% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3+V LT | $105.00 | $150.00 | $111.46–$95.76 | 10% below | 30% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3+V RT | $105.00 | $150.00 | $111.46–$95.76 | 10% below | 30% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR FOOT | $124.68 | $178.11 | $160.30 | — | 30% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR FOOT 3+V BL | $189.00 | $270.00 | $243.00 | — | 30% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT 3+V RT | $105.00 | $150.00 | $135.00 | — | 30% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT 3+V LT | $105.00 | $150.00 | $135.00 | — | 30% |
| X-ray of the hand, 3 or more views CPT 73130 XR HAND | $124.68 | $178.11 | $111.46–$95.76 | 2% above | 30% |
| X-ray of the hand, 3 or more views CPT 73130 XR HAND 3V BL | $189.00 | $270.00 | $111.46–$95.76 | 54% above | 30% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3V LT | $126.00 | $180.00 | $111.46–$95.76 | 3% above | 30% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3V RT | $126.00 | $180.00 | $111.46–$95.76 | 3% above | 30% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 XR HAND | $124.68 | $178.11 | $160.30 | — | 30% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 XR HAND 3V BL | $189.00 | $270.00 | $243.00 | — | 30% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3V RT | $126.00 | $180.00 | $162.00 | — | 30% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3V LT | $126.00 | $180.00 | $162.00 | — | 30% |
| X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE | $124.68 | $178.11 | $111.46–$95.76 | 3% above | 30% |
| X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE 1-2V BL | $171.50 | $245.00 | $111.46–$95.76 | 42% above | 30% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1-2V RT | $115.50 | $165.00 | $111.46–$95.76 | 5% below | 30% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1-2V LT | $115.50 | $165.00 | $111.46–$95.76 | 5% below | 30% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR KNEE | $124.68 | $178.11 | $160.30 | — | 30% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR KNEE 1-2V BL | $171.50 | $245.00 | $220.50 | — | 30% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1-2V RT | $115.50 | $165.00 | $148.50 | — | 30% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1-2V LT | $115.50 | $165.00 | $148.50 | — | 30% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SP LTD | $140.00 | $200.00 | $134.61–$90.64 | 6% above | 30% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SP LTD | $140.00 | $200.00 | $180.00 | — | 30% |
| X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE 4 VIEW | $196.00 | $280.00 | $134.61–$90.64 | 6% above | 30% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR SPINE 4 VIEW | $196.00 | $280.00 | $252.00 | — | 30% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE | $133.00 | $190.00 | $134.61–$90.64 | 7% above | 30% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR THORACIC SPINE | $133.00 | $190.00 | $171.00 | — | 30% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NOSE | $119.00 | $170.00 | $111.46–$95.76 | 10% below | 30% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NOSE | $119.00 | $170.00 | $153.00 | — | 30% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERV SPNE 2-3V | $129.50 | $185.00 | $111.46–$75.05 | 2% below | 30% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERV SPNE 2-3V | $129.50 | $185.00 | $166.50 | — | 30% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS | $126.00 | $180.00 | $134.61–$90.64 | 2% above | 30% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS | $126.00 | $180.00 | $162.00 | — | 30% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX | $122.50 | $175.00 | $111.46–$95.76 | 1% below | 30% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM/COCCYX | $122.50 | $175.00 | $157.50 | — | 30% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT | $21.00 | $30.00 | $11.93–$9.37 | 44% below | 30% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT | $21.00 | $30.00 | $27.00 | — | 30% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT | $21.00 | $30.00 | $11.66–$9.96 | 43% below | 30% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT | $21.00 | $30.00 | $27.00 | — | 30% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PROFILE | $129.50 | $185.00 | $107.17–$71.45 | 17% below | 30% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PROFILE | $129.50 | $185.00 | $166.50 | — | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL ENVIRO | $11.35 | $16.21 | $11.75–$7.83 | 28% below | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS LATEX IGE | $15.04 | $21.48 | $11.75–$7.83 | 4% below | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ADDNL ALLERGENS | $20.65 | $29.50 | $11.75–$8.85 | 31% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN LATEX IGE | $28.00 | $40.00 | $11.75–$7.83 | 78% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN (SPECIFIC) | $28.00 | $40.00 | $11.75–$7.83 | 78% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TO PEACHES | $29.40 | $42.00 | $11.75–$7.83 | 87% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL FOOD | $29.43 | $42.04 | $11.75–$7.83 | 87% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ONION ALLERGY SERUM | $36.75 | $52.50 | $11.75–$7.83 | 133% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 VENOM ALLERGY PANEL | $140.00 | $200.00 | $11.75–$7.83 | 789% above | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PANEL ENVIRO | $11.35 | $16.21 | $14.59 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS LATEX IGE | $15.04 | $21.48 | $19.33 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ADDNL ALLERGENS | $20.65 | $29.50 | $26.55 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN LATEX IGE | $28.00 | $40.00 | $36.00 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN (SPECIFIC) | $28.00 | $40.00 | $36.00 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TO PEACHES | $29.40 | $42.00 | $37.80 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PANEL FOOD | $29.43 | $42.04 | $37.84 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ONION ALLERGY SERUM | $36.75 | $52.50 | $47.25 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 VENOM ALLERGY PANEL | $140.00 | $200.00 | $180.00 | — | 30% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE | $68.60 | $98.00 | $11.66–$88.20 | 48% above | 30% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE | $68.60 | $98.00 | $88.20 | — | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $50.40 | $72.00 | $10.88–$64.80 | 30% below | 30% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA | $50.40 | $72.00 | $64.80 | — | 30% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP | $210.00 | $300.00 | $240.00–$90.00 | 51% above | 30% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP | $210.00 | $300.00 | $270.00 | — | 30% |
| Basic metabolic panel (blood test) CPT 80048 BMP | $103.25 | $147.50 | $118.00–$8.54 | 40% above | 30% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BMP | $103.25 | $147.50 | $132.75 | — | 30% |
| Blood culture for bacteria CPT 87040 CLT-BLOOD | $54.60 | $78.00 | $10.32–$9.80 | 38% below | 30% |
| Blood culture for bacteria inpatient CPT 87040 CLT-BLOOD | $54.60 | $78.00 | $70.20 | — | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $6.65 | $9.50 | $13.64–$9.18 | 30% below | 30% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE | $6.65 | $9.50 | $8.55 | — | 30% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE-SERUM | $21.00 | $30.00 | $24.00–$9.00 | 35% below | 30% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE-SERUM | $21.00 | $30.00 | $27.00 | — | 30% |
| Blood lead test CPT 83655 LEAD | $50.40 | $72.00 | $10.90–$64.80 | at median | 30% |
| Blood lead test inpatient CPT 83655 LEAD | $50.40 | $72.00 | $64.80 | — | 30% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREG TEST QUAL | $42.00 | $60.00 | $11.28–$7.60 | 12% below | 30% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREG TEST QUAL | $42.00 | $60.00 | $54.00 | — | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO | $52.50 | $75.00 | $103.34–$98.23 | 12% above | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO | $52.50 | $75.00 | $67.50 | — | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $33.60 | $48.00 | $11.66–$8.69 | 1% above | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $33.60 | $48.00 | $43.20 | — | 30% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF BY DNA AMPLIF | $96.60 | $138.00 | $110.40–$83.86 | 29% above | 30% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF BY DNA AMPLIF | $96.60 | $138.00 | $124.20 | — | 30% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $75.60 | $108.00 | $18.73–$97.20 | 11% below | 30% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $75.60 | $108.00 | $97.20 | — | 30% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 C125 CA125 | $75.60 | $108.00 | $18.73–$97.20 | 32% below | 30% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 C125 CA125 | $75.60 | $108.00 | $97.20 | — | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 EMPLOYEE COVID PCR TEST | $87.50 | $125.00 | $100.00–$76.97 | 40% above | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 AMPPROBE | $87.50 | $125.00 | $100.00–$76.97 | 40% above | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 EMPLOYEE COVID PCR TEST | $87.50 | $125.00 | $112.50 | — | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID 19 AMPPROBE | $87.50 | $125.00 | $112.50 | — | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CTAMP | $105.00 | $150.00 | $120.00–$78.95 | 36% above | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CTAMP | $105.00 | $150.00 | $135.00 | — | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $44.80 | $64.00 | $12.05–$57.60 | 39% below | 30% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $44.80 | $64.00 | $57.60 | — | 30% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF | $32.90 | $47.00 | $11.46–$7.85 | 21% below | 30% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF | $32.90 | $47.00 | $42.30 | — | 30% |
| Complete blood count (CBC), no differential CPT 85027 CBC | $32.90 | $47.00 | $14.10–$9.71 | 7% below | 30% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC | $32.90 | $47.00 | $42.30 | — | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP | $117.60 | $168.00 | $10.03–$9.50 | 12% above | 30% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP | $117.60 | $168.00 | $151.20 | — | 30% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER | $84.00 | $120.00 | $10.18–$96.00 | 9% above | 30% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER | $84.00 | $120.00 | $108.00 | — | 30% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $84.00 | $120.00 | $108.00–$96.00 | 13% below | 30% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE | $84.00 | $120.00 | $108.00 | — | 30% |
| Estradiol blood test CPT 82670 ESTRADIOL | $162.40 | $232.00 | $185.60–$69.60 | 61% above | 30% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $162.40 | $232.00 | $208.80 | — | 30% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH-SERUM OR URINE | $63.00 | $90.00 | $16.72–$81.00 | 39% below | 30% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH-SERUM OR URINE | $63.00 | $90.00 | $81.00 | — | 30% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $126.00 | $180.00 | $144.00–$54.00 | 21% below | 30% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL | $126.00 | $180.00 | $162.00 | — | 30% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $50.40 | $72.00 | $12.27–$64.80 | 35% below | 30% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $50.40 | $72.00 | $64.80 | — | 30% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID | $63.00 | $90.00 | $13.23–$81.00 | 12% below | 30% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID | $63.00 | $90.00 | $81.00 | — | 30% |
| Free T3 thyroid hormone test CPT 84481 FREE T3 | $84.00 | $120.00 | $108.00–$96.00 | 9% below | 30% |
| Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 | $84.00 | $120.00 | $108.00 | — | 30% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T-4 (THYROXINE) FREE | $50.40 | $72.00 | $12.51–$9.11 | at median | 30% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T-4 (THYROXINE) FREE | $50.40 | $72.00 | $64.80 | — | 30% |
| Free testosterone test CPT 84402 FREE TESTOSTERONE | $79.80 | $114.00 | $102.60–$91.20 | 3% below | 30% |
| Free testosterone test inpatient CPT 84402 FREE TESTOSTERONE | $79.80 | $114.00 | $102.60 | — | 30% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUC CHALLENGE | $21.00 | $30.00 | $10.69–$9.18 | 46% below | 30% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUC CHALLENGE | $21.00 | $30.00 | $27.00 | — | 30% |
| Glucose tolerance test, 3 samples CPT 82951 GTT FIRST 3SPEC | $49.00 | $70.00 | $11.58–$63.00 | 34% below | 30% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT FIRST 3SPEC | $49.00 | $70.00 | $63.00 | — | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GCAMP | $98.70 | $141.00 | $112.80–$78.95 | 78% above | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GCAMP | $98.70 | $141.00 | $126.90 | — | 30% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI | $78.40 | $112.00 | $100.80–$89.60 | 38% above | 30% |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI | $78.40 | $112.00 | $100.80 | — | 30% |
| H. pylori stool antigen test CPT 87338 HELICOBACTER STOOL | $112.63 | $160.90 | $12.94–$48.27 | at median | 30% |
| H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER STOOL | $112.63 | $160.90 | $144.81 | — | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-RNA | $210.00 | $300.00 | $105.63–$90.00 | at median | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-RNA | $210.00 | $300.00 | $270.00 | — | 30% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV SCREEN | $58.80 | $84.00 | $12.34–$75.60 | 18% below | 30% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV SCREEN | $58.80 | $84.00 | $75.60 | — | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C | $42.00 | $60.00 | $13.37–$9.81 | 22% below | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C | $42.00 | $60.00 | $54.00 | — | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HBIM HEPATITIS B SUR | $23.10 | $33.00 | $10.20–$9.90 | 59% below | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HBIM HEPATITIS B SUR | $23.10 | $33.00 | $29.70 | — | 30% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURF AG | $51.80 | $74.00 | $10.33–$9.81 | 3% above | 30% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURF AG | $51.80 | $74.00 | $66.60 | — | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C | $67.20 | $96.00 | $12.84–$86.40 | 3% below | 30% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C | $67.20 | $96.00 | $86.40 | — | 30% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCVVL | $128.80 | $184.00 | $147.20–$96.39 | 25% below | 30% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCVVL | $128.80 | $184.00 | $165.60 | — | 30% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV IGG1 | $66.50 | $95.00 | $11.87–$85.50 | 74% above | 30% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV IGG1 | $66.50 | $95.00 | $85.50 | — | 30% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGG | $66.50 | $95.00 | $17.42–$85.50 | 43% above | 30% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGG | $66.50 | $95.00 | $85.50 | — | 30% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HIGH SENSITIVITY | $49.00 | $70.00 | $11.66–$63.00 | 23% above | 30% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HIGH SENSITIVITY | $49.00 | $70.00 | $63.00 | — | 30% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE PL | $75.60 | $108.00 | $16.13–$97.20 | 7% below | 30% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE PL | $75.60 | $108.00 | $97.20 | — | 30% |
| Insulin blood test CPT 83525 INSULIN (INS) | $53.20 | $76.00 | $10.29–$68.40 | 2% below | 30% |
| Insulin blood test inpatient CPT 83525 INSULIN (INS) | $53.20 | $76.00 | $68.40 | — | 30% |
| Iron blood test (serum iron) CPT 83540 IRON (FE+) | $26.25 | $37.50 | $11.02–$9.71 | 30% below | 30% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON (FE+) | $26.25 | $37.50 | $33.75 | — | 30% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAP | $26.25 | $37.50 | $11.25–$8.83 | 40% below | 30% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAP | $26.25 | $37.50 | $33.75 | — | 30% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $110.25 | $157.50 | $126.00–$8.77 | 41% above | 30% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $110.25 | $157.50 | $141.75 | — | 30% |
| LH (luteinizing hormone) test CPT 83002 LH | $67.20 | $96.00 | $16.67–$86.40 | 28% below | 30% |
| LH (luteinizing hormone) test inpatient CPT 83002 LH | $67.20 | $96.00 | $86.40 | — | 30% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $29.40 | $42.00 | $10.34–$6.96 | 27% below | 30% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $29.40 | $42.00 | $37.80 | — | 30% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION | $91.35 | $130.50 | $104.40–$8.25 | 11% above | 30% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION | $91.35 | $130.50 | $117.45 | — | 30% |
| Lyme disease antibody test CPT 86618 LYME IMMUNO WITH REFLEX | $84.70 | $121.00 | $108.90–$96.80 | 7% above | 30% |
| Lyme disease antibody test inpatient CPT 86618 LYME IMMUNO WITH REFLEX | $84.70 | $121.00 | $108.90 | — | 30% |
| Magnesium blood test CPT 83735 MAGNESIUM (MG+) | $29.40 | $42.00 | $10.05–$6.77 | 14% below | 30% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM (MG+) | $29.40 | $42.00 | $37.80 | — | 30% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG | $50.40 | $72.00 | $11.59–$64.80 | 21% above | 30% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG | $50.40 | $72.00 | $64.80 | — | 30% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST | $25.20 | $36.00 | $10.80–$9.96 | 33% below | 30% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST | $25.20 | $36.00 | $32.40 | — | 30% |
| Obstetric blood test panel CPT 80055 OB PANEL | $140.00 | $200.00 | $107.57–$72.94 | 11% below | 30% |
| Obstetric blood test panel inpatient CPT 80055 OB PANEL | $140.00 | $200.00 | $180.00 | — | 30% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA | $31.99 | $45.70 | $13.71–$41.38 | 49% below | 30% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA | $31.99 | $45.70 | $41.13 | — | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 TOTAL PSA | $54.60 | $78.00 | $16.55–$70.20 | 37% below | 30% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 TOTAL PSA | $54.60 | $78.00 | $70.20 | — | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE | $138.60 | $198.00 | $158.40–$92.88 | 13% below | 30% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE | $138.60 | $198.00 | $178.20 | — | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $35.00 | $50.00 | $10.87–$9.02 | 11% below | 30% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $35.00 | $50.00 | $45.00 | — | 30% |
| Progesterone blood test CPT 84144 PROGESTERONE | $70.00 | $100.00 | $18.77–$90.00 | 24% below | 30% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $70.00 | $100.00 | $90.00 | — | 30% |
| Prolactin blood test CPT 84146 PROLACTIN | $67.20 | $96.00 | $17.44–$86.40 | 39% below | 30% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $67.20 | $96.00 | $86.40 | — | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $28.00 | $40.00 | $12.00–$9.65 | 21% below | 30% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $28.00 | $40.00 | $36.00 | — | 30% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN CLINIC | $28.28 | $40.40 | $11.34–$36.36 | 22% below | 30% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN CLINIC | $28.28 | $40.40 | $36.36 | — | 30% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA TEST | $21.00 | $30.00 | $14.90–$9.00 | 51% below | 30% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA TEST | $21.00 | $30.00 | $27.00 | — | 30% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A QUICK STICK | $28.00 | $40.00 | $12.00–$37.19 | 46% below | 30% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN | $33.60 | $48.00 | $14.40–$43.20 | 35% below | 30% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A QUICK STICK | $28.00 | $40.00 | $36.00 | — | 30% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCREEN | $33.60 | $48.00 | $43.20 | — | 30% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA VIRUS | $50.40 | $72.00 | $12.95–$64.80 | at median | 30% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA VIRUS | $50.40 | $72.00 | $64.80 | — | 30% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTO | $60.55 | $86.50 | $2.43–$77.85 | 55% above | 30% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE AUTO | $60.55 | $86.50 | $77.85 | — | 30% |
| Stool ova and parasites exam CPT 87177 FECES-AO&P | $74.20 | $106.00 | $13.35–$95.40 | 44% above | 30% |
| Stool ova and parasites exam inpatient CPT 87177 FECES-AO&P | $74.20 | $106.00 | $95.40 | — | 30% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $31.50 | $45.00 | $13.50–$9.86 | 75% above | 30% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES | $31.50 | $45.00 | $40.50 | — | 30% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 IFOBT | $46.66 | $66.66 | $14.33–$59.99 | 191% above | 30% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 IFOBT | $46.66 | $66.66 | $59.99 | — | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILLIS RPR AB | $25.20 | $36.00 | $10.80–$9.61 | 2% below | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILLIS RPR AB | $25.20 | $36.00 | $32.40 | — | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB | $105.00 | $150.00 | $110.59–$92.97 | 22% below | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB | $105.00 | $150.00 | $135.00 | — | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE SERUM | $87.50 | $125.00 | $100.00–$58.07 | 26% below | 30% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE SERUM | $87.50 | $125.00 | $112.50 | — | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 TPO AB | $27.30 | $39.00 | $11.70–$35.10 | 22% below | 30% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 TPO AB | $27.30 | $39.00 | $35.10 | — | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $58.80 | $84.00 | $15.12–$75.60 | 18% below | 30% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $58.80 | $84.00 | $75.60 | — | 30% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS INF AGENT DIRECT PROBE | $112.00 | $160.00 | $128.00–$78.95 | 132% above | 30% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS INF AGENT DIRECT PROBE | $112.00 | $160.00 | $144.00 | — | 30% |
| Uric acid blood test CPT 84550 URIC ACID-SERUM | $21.00 | $30.00 | $10.17–$9.00 | 40% below | 30% |
| Uric acid blood test inpatient CPT 84550 URIC ACID-SERUM | $21.00 | $30.00 | $27.00 | — | 30% |
| Urinalysis with microscope exam, automated CPT 81001 URINE AUTO WITH MICRO | $25.20 | $36.00 | $10.80–$7.13 | 25% below | 30% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINE AUTO WITH MICRO | $25.20 | $36.00 | $32.40 | — | 30% |
| Urinalysis with microscope exam, manual CPT 81000 URINE NON AUTO W/MICRO | $16.80 | $24.00 | $19.20–$9.05 | 54% below | 30% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINE NON AUTO W/MICRO | $16.80 | $24.00 | $21.60 | — | 30% |
| Urinalysis without microscope exam, manual CPT 81002 UA NONAUTOMATED | $16.80 | $24.00 | $19.20–$7.83 | 19% above | 30% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 UA NONAUTOMATED | $16.80 | $24.00 | $21.60 | — | 30% |
| Urine culture for bacteria, with colony count CPT 87086 CLT-UR COLONY COUNT | $42.00 | $60.00 | $10.92–$8.15 | 9% below | 30% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CLT-UR COLONY COUNT | $42.00 | $60.00 | $54.00 | — | 30% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST (URINE) | $18.08 | $25.83 | $10.47–$8.70 | 54% below | 30% |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST (URINE) | $18.08 | $25.83 | $23.25 | — | 30% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $63.00 | $90.00 | $13.57–$81.00 | 24% below | 30% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 | $63.00 | $90.00 | $81.00 | — | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D | $99.40 | $142.00 | $113.60–$66.60 | 7% above | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D | $99.40 | $142.00 | $127.80 | — | 30% |
| Zinc blood test CPT 84630 ZINC | $32.20 | $46.00 | $10.25–$41.40 | 53% below | 30% |
| Zinc blood test inpatient CPT 84630 ZINC | $32.20 | $46.00 | $41.40 | — | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 PREG TEST QUANT | $29.75 | $42.50 | $12.75–$38.25 | 64% below | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 PREG TEST QUANT | $29.75 | $42.50 | $38.25 | — | 30% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Incision and drainage of a simple or single skin abscess CPT 10060 ABSCESS I&D SIMPLE OR SINGLE | $157.50 | $225.00 | $151.42–$377.28 | 19% above | 30% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ABSCESS I&D SIMPLE OR SINGLE | $157.50 | $225.00 | $202.50 | — | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 FOREIGN BODY I&R SIMPLE | $168.00 | $240.00 | $192.00–$758.60 | 9% below | 30% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 FOREIGN BODY I&R SIMPLE | $168.00 | $240.00 | $216.00 | — | 30% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG UP TO 15 LESIONS | $119.00 | $170.00 | $136.00–$377.28 | 31% above | 30% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAG UP TO 15 LESIONS | $119.00 | $170.00 | $153.00 | — | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBCU UP TO 20 CM | $262.50 | $375.00 | $300.00–$758.60 | 22% above | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SUBCU UP TO 20 CM | $262.50 | $375.00 | $337.50 | — | 30% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION | $147.35 | $210.50 | $168.40–$830.09 | 67% below | 30% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION | $147.35 | $210.50 | $189.45 | — | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AERO TX | $33.54 | $47.91 | $154.99–$43.12 | 45% below | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB-TREATMENT | $33.54 | $47.91 | $154.99–$43.12 | 45% below | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AERO TX | $33.54 | $47.91 | $43.12 | — | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB-TREATMENT | $33.54 | $47.91 | $43.12 | — | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $73.50 | $105.00 | $112.78–$94.50 | 6% below | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG | $73.50 | $105.00 | $94.50 | — | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 FMLY THER W PT 50 MI | $122.50 | $175.00 | $122.44–$305.07 | 39% below | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 FAM THER W/O PT 50 M | $260.40 | $372.00 | $122.44–$334.80 | 30% above | 30% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FMLY THER W PT 50 MI | $122.50 | $175.00 | $157.50 | — | 30% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAM THER W/O PT 50 M | $260.40 | $372.00 | $334.80 | — | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 FAM/THER NO PT 50 MI | $122.50 | $175.00 | $122.44–$305.07 | 6% below | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMLTHER W/PAT 50 MI | $260.40 | $372.00 | $122.44–$334.80 | 100% above | 30% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAM/THER NO PT 50 MI | $122.50 | $175.00 | $157.50 | — | 30% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMLTHER W/PAT 50 MI | $260.40 | $372.00 | $334.80 | — | 30% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $138.71 | $198.15 | $117.09–$78.84 | 37% above | 30% |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY | $138.71 | $198.15 | $178.34 | — | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF INIT 31M/1 HR | $227.30 | $324.72 | $160.55–$400.04 | 18% above | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF INIT 31M/1 HR | $227.30 | $324.72 | $292.25 | — | 30% |
| IV infusion of a medicine, first hour CPT 96365 IV INF INIT UP 1HR | $364.54 | $520.77 | $160.55–$468.69 | 62% above | 30% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INF INIT UP 1HR | $364.54 | $520.77 | $468.69 | — | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ IM OR SUBCU | $112.43 | $160.62 | $100.68–$90.09 | 91% above | 30% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ IM OR SUBCU | $112.43 | $160.62 | $144.56 | — | 30% |
| Neuromuscular re-education, 15 minutes CPT 97112 ST NEURO RE-ED | $66.68 | $95.25 | $26.69–$95.25 | 27% above | 30% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEURO RE-ED | $66.68 | $95.25 | $26.69–$95.25 | 27% above | 30% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEURO RE-ED | $66.68 | $95.25 | $26.69–$95.25 | 27% above | 30% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 ST NEURO RE-ED | $66.68 | $95.25 | $1,324.34–$85.73 | — | 30% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEURO RE-ED | $66.68 | $95.25 | $1,324.34–$85.73 | — | 30% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEURO RE-ED | $66.68 | $95.25 | $1,324.34–$85.73 | — | 30% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW 30 MIN | $147.00 | $210.00 | $139.46–$93.90 | 7% above | 30% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $147.00 | $210.00 | $139.46–$93.90 | 7% above | 30% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $147.00 | $210.00 | $1,324.34–$189.00 | — | 30% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW 30 MIN | $147.00 | $210.00 | $1,324.34–$189.00 | — | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH 45 MIN | $147.00 | $210.00 | $136.16–$91.68 | at median | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH 45 MIN | $147.00 | $210.00 | $1,324.34–$189.00 | — | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW 20 MIN | $147.00 | $210.00 | $136.16–$91.68 | 16% above | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW 20 MIN | $147.00 | $210.00 | $1,324.34–$189.00 | — | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD 20 MIN | $147.00 | $210.00 | $136.16–$91.68 | 7% above | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD 20 MIN | $147.00 | $210.00 | $1,324.34–$189.00 | — | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT JNT/SFT TIS MOBIL | $59.58 | $85.11 | $22.66–$85.11 | 5% above | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT JNTSFT TIS MBLMNL | $59.58 | $85.11 | $22.66–$85.11 | 5% above | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT JNTSFT TIS MBLMNL | $59.58 | $85.11 | $1,324.34–$76.60 | — | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT JNT/SFT TIS MOBIL | $59.58 | $85.11 | $1,324.34–$76.60 | — | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 ST ORAL MTR EXERCISE | $64.07 | $91.53 | $23.99–$91.53 | 16% above | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXER | $64.07 | $91.53 | $23.99–$91.53 | 16% above | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAP EXERCISE | $64.07 | $91.53 | $23.99–$91.53 | 16% above | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXER | $64.07 | $91.53 | $1,324.34–$82.38 | — | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAP EXERCISE | $64.07 | $91.53 | $1,324.34–$82.38 | — | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 ST ORAL MTR EXERCISE | $64.07 | $91.53 | $1,324.34–$82.38 | — | 30% |
| Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL PSY 30 MN | $70.00 | $100.00 | $122.44–$90.00 | 50% below | 30% |
| Psychotherapy session, 30 minutes CPT 90832 INDV PSYCHTHRPY30MIN | $132.30 | $189.00 | $122.44–$305.07 | 5% below | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 INDIVIDUAL PSY 30 MN | $70.00 | $100.00 | $90.00 | — | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 INDV PSYCHTHRPY30MIN | $132.30 | $189.00 | $170.10 | — | 30% |
| Psychotherapy session, 45 minutes CPT 90834 INDIVIDUALPSYCHOTHER | $122.50 | $175.00 | $122.44–$305.07 | 24% below | 30% |
| Psychotherapy session, 45 minutes CPT 90834 INDV PSYCHTHRPY45MIN | $132.30 | $189.00 | $122.44–$305.07 | 18% below | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 INDIVIDUALPSYCHOTHER | $122.50 | $175.00 | $157.50 | — | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 INDV PSYCHTHRPY45MIN | $132.30 | $189.00 | $170.10 | — | 30% |
| Psychotherapy session, 60 minutes CPT 90837 INDIVIDUAL THERAPY 60 MIN | $175.00 | $250.00 | $122.44–$305.07 | 38% above | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 INDIVIDUAL THERAPY 60 MIN | $175.00 | $250.00 | $225.00 | — | 30% |
| Speech and language evaluation CPT 92523 EVAL OF SPEECH W EVA | $389.34 | $556.20 | $166.86–$556.20 | 120% above | 30% |
| Speech and language evaluation inpatient CPT 92523 EVAL OF SPEECH W EVA | $389.34 | $556.20 | $1,324.34–$500.58 | — | 30% |
| Speech therapy session, individual CPT 92507 ST SPEECH/LANG THRP | $157.33 | $224.76 | $105.12–$81.00 | at median | 30% |
| Speech therapy session, individual inpatient CPT 92507 ST SPEECH/LANG THRP | $157.33 | $224.76 | $1,324.34–$202.28 | — | 30% |
| Spirometry (breathing test) CPT 94010 PFT-BAS | $338.69 | $483.84 | $119.23–$435.46 | 169% above | 30% |
| Spirometry (breathing test) inpatient CPT 94010 PFT-BAS | $338.69 | $483.84 | $435.46 | — | 30% |
| Spirometry before and after a bronchodilator CPT 94060 PFT B/A | $497.41 | $710.58 | $237.29–$639.52 | 86% above | 30% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PFT B/A | $497.41 | $710.58 | $639.52 | — | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAP ACTVTY | $68.82 | $98.31 | $28.41–$98.31 | 38% above | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTV | $68.82 | $98.31 | $28.41–$98.31 | 38% above | 30% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAP ACTVTY | $68.82 | $98.31 | $1,324.34–$88.48 | — | 30% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACTV | $68.82 | $98.31 | $1,324.34–$88.48 | — | 30% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $165.52 | $236.46 | $103.34–$98.23 | 64% above | 30% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY | $165.52 | $236.46 | $212.81 | — | 30% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 CARDIO STRES W REPOR | $161.18 | $230.25 | $143.64–$95.76 | 42% below | 30% |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 CARDIO STRES W REPOR | $161.18 | $230.25 | $207.23 | — | 30% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FluZONE HIGH-DOSE 2019-20 SYR 0.5 mL, 0.5 mL | $42.00 | $60.00 | $18.00–$73.40 | 5% below | 30% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FluZONE HIGH-DOSE 2019-20 SYR 0.5 mL, 0.5 mL | $42.00 | $60.00 | $54.00 | — | 30% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 SDV | $280.00 | $400.00 | $120.00–$91.33 | 49% above | 30% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 23 SDV | $280.00 | $400.00 | $360.00 | — | 30% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX VIAL KIT 1 ea, 1 each | $140.00 | $200.00 | $101.80–$60.00 | 64% below | 30% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGRIX VIAL KIT 1 ea, 1 each | $140.00 | $200.00 | $180.00 | — | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION | $22.40 | $32.00 | $100.68–$90.09 | 53% below | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMINISTRATION | $22.40 | $32.00 | $28.80 | — | 30% |